摘要
目的探讨用永久性颗粒经支气管动脉栓塞治疗大咯血的临床疗效。方法对33例内科治疗无效的大咯血患者进行支气管动脉栓塞治疗。33例患者中包括支气管扩张24例、支气管肺癌4例、支气管扩张合并肺结核2例、支气管病变2例以及外伤性毁损肺1例,栓塞材料均采用海藻酸钠微球,部分合并支气管肺循环瘘的患者同时联合使用弹簧圈进行栓塞。所有病例随访3个月以上。结果所有患者均成功实施支气管动脉栓塞,33例患者即刻效果均为咯血停止,有效率100%;3例患者在术后1个月内复发,复发率为9.1%(3/33)。所有患者栓塞后均没有出现严重并发症,术后平均住院时间为10 d。结论利用永久性颗粒栓塞治疗大咯血是一种安全、有效和恢复较快的方法。
Objective Massive hemoptysis is always a life-threatening respiratory disease and requires emergency management.This study is to evaluate the clinical efficacy and safety of bronchial artery embolization（BAE） by using permanent particles in the management of massive hemoptysis.Methods Thirty-three patients with massive hemoptysis who had failed to respond to medical management received BAE.The causative diseases included bronchiectasis（n = 24）,bronchogenic carcinoma（n = 4）,bronchiectasis complicated with tuberculosis（n = 2）,bronchial disease（n = 2） and traumatic destroyed lung（n = 1）.Embolization with sodium alginate microspheres（KMG） was performed in all patients,and additional use of microcoils was carried out in patients complicated with bronchial-pulmonary fistulae.All patients were followed up for at least 3 months.Results BAE was successfully accomplished in all patients.The cessation of hemoptysis was immediately obtained in all patients,with a success rate of 100%.Recurrence of hemoptysis within one month after BAE was seen in 3 patients（9.1%,3/33）.No serious complications occurred and the mean postoperative hospitalization days of the patients were 10 days.Conclusion With satisfactory instant clinical results,BAE by using permanent particles is a safe,effective treatment for the massive hemoptysis.
出处
《介入放射学杂志》
CSCD
北大核心
2011年第2期108-111,共4页
Journal of Interventional Radiology
关键词
咯血
血管内栓塞
介入治疗
永久性颗粒
hemoptysis
endovascular embolization
interventional treatment
permanent particle
